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NR 1-2/2004
SUPLEMENT
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Analiza porównawcza
wyników modyfikacji sinusektomii i trabekulektomii u pacjentów z
jaskrą pierwotną otwartego kąta
Comparative analysis of the
results of modification sinusectomy
and trabeculectomy in patients with primary open angle glaucoma
Małgorzata Stawska
Z Oddziału Okulistyki III Szpitala Miejskiego w Łodzi
Ordynator: prof. dr hab. n. med. Jerzy Nawrocki |
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| Summary: |
Purpose: A study
was conducted to examine surgical approach for the
management of patients with open-angle glaucoma, in
which Schlemm's canal is opened to restore drainage in a
non penetrating fashion. Compared over the results of
the surgical procedure including new modification of
sinusectomy with the results of standard trabeculectomy.
Material and methods: The study concerns 82
patients with primary open angle glaucoma. A new type of
surgical procedure performed on 40 consecutive patients
(Group I). Trabeculectomy performed on 42 patients (Group
II). Data, including visual acuity, intraocular pressure,
complications and the number of medications required to
maintain adequate pressures, were analyzed. The
follow-up time ranged from 6 months to 3 years.
Results: After 24 months postoperatively, 88,4% (Group
I) and 91% (Group II) of the patients achieved an
intraocular pressure lower than 21 mmHg.
Conclusions: The non penetrating technique to
open the canal effectively, allows the drainage of
aqueous to acceptable levels, without the complications
associated with trabeculectomy. |
| Słowa kluczowe: |
Modyfikacja częściowej
sinusektomii, trabekulektomia, jaskra pierwotna
otwartego kąta, ciśnienie wewnątrzgałkowe, ostrość
wzroku. |
| Key words: |
modification of partial
sinusectomy, trabeculectomy, primary open angle glaucoma,
intraocular pressure, visual acuity. |
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